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This Article Full Text Full Text (PDF) All Versions of this Article: jmm.0.011197-0v1 58/11/1517    most recent Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via CrossRef Google Scholar Articles by Örnek, K. Articles by Ergin, A. PubMed PubMed Citation Articles by Örnek, K. Articles by Ergin, A. Agricola Articles by Örnek, K. Articles by Ergin, A.

Burkholderia cepacia keratitis with endophthalmitis

Department of Ophthalmology, School of Medicine, Kirikkale University, Kirikkale, Turkey

Correspondence
Kemal Örnek
kemalornek{at}hotmail.com

Received March 17, 2009
Accepted August 2, 2009

Keratitis with endophthalmitis of the right eye occurred in a 78-year-female following a complicated cataract surgery. Prompt intravitreal vancomycin and ceftazidime with topical fortified tobramycin and cefazolin treatments were started. The corneal, aqueous and vitreous cultures grew a Burkholderia cepacia complex (Bcc) strain on the fourth day. Restriction fragment length polymorphism analysis of the recA amplicon revealed B. cepacia genomovar I. The organism was found to be susceptible to ceftazidime, ciprofloxacin and ofloxacin. Topical ciprofloxacin was given immediately. At day 10, the pain relieved and the clinical condition of the patient improved with resolution of the purulent discharge, severe circumcorneal congestion and chemosis. The size of the corneal abscess and anterior chamber exudation decreased. The Bcc should be included among the bacterial species that may cause keratitis following intraocular surgeries.